A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Reduce maternal and fetal tachycardia associated with terbutaline administration.

Suppress uterine contractions.

Stimulate fetal surfactant production.

Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.

Answer and Explanation

The Correct Answer is C

Betamethasone is a corticosteroid that enhances fetal lung maturity, which can help reduce the risk of respiratory distress syndrome and other complications in preterm infants. It does not reduce maternal and fetal tachycardia associated with terbutaline administration, suppress uterine contractions, or maintain maternal respiratory effort and ventilation during magnesium sulfate therapy.

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Correct Answer is C

Explanation

The Health Planning Model includes the following components: Assessment, Planning, Implementation, and Evaluation

A. Any vaginal discharge should be immediately reported to her health care provider. B. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure should be reported. C. The client will be scheduled for a cesarean birth. D. The client will need to arrange for care at home because her activity level will be restricted.

Correct Answer is B

Explanation

The information that the nurse should emphasize in the discharge teaching for a pregnant woman who has undergone a cervical cerclage due to an incompetent cervix is that the presence of any contractions, rupture of membranes (ROM), or severe perineal pressure should be reported to her healthcare provider immediately. This is because these symptoms could indicate cervical dilation or premature labor, which can lead to pregnancy loss or other complications.
Reporting any vaginal discharge is important, but it is not the most critical symptom to monitor for after cervical cerclage placement. Vaginal discharge is common after cervical cerclage and can occur for several weeks without posing a significant risk to the pregnancy.
A cesarean birth may or may not be necessary depending on the patient's individual circumstances and the course of the pregnancy. It is not a given that all women with cervical cerclage require a cesarean delivery.
While some activity restrictions may be necessary after cervical cerclage placement, it is not necessary for the patient to arrange for care at home. Many women are able to manage their daily activities with appropriate precautions and guidance from their healthcare provider.

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A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is not included in the Health Planning Model?

Correct Answer is C

Explanation

A pregnant woman is being discharged from the hospital after the placement of a cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent cervix. Which information regarding postprocedural care should the nurse emphasize in the discharge teaching?

Correct Answer is B

Explanation

Which of the following methods would be best if the nurse wanted to study the complex relationships among factors that contribute to chronic disease?

The nurse anticipates the vaginal delivery of a client who has been induced for macrosomia. The provider asks the nurse to apply suprapubic pressure. The nurse knows that suprapubic pressure is applied:

A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?

Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

During this phase of a disaster, evaluation of the disaster plan and cleanup of the area are hallmark activities.

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have: